Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.99 / $78.09 / $103.68	Facility		$43.99	$78.09	$103.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $36.65 / $54.05	Professional		$32.50	$36.65	$54.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.92 / $47.00 / $58.75	Facility		$20.92	$47.00	$58.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $18.80 / $110.07	Professional		$18.80	$18.80	$110.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.55 / $54.99 / $170.16	Facility		$30.55	$54.99	$170.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.97 / $57.35 / $99.82	Professional		$23.97	$57.35	$99.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $49.35	Professional		$11.75	$11.75	$49.35
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Professional		$11.75	$11.75	$11.75
United Facility/Professional Facility Modifier Low / Median / High Price $70.50 / $70.50 / $70.50	Facility		$70.50	$70.50	$70.50
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $19.73 / $47.00	Professional		$19.73	$19.73	$47.00